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Home My WebLink AboutDennis A. Richard/Beach Hotel MiarniB~ ""' 1IJCl. m ~ City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the Oty Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any manner in this section, during the time period of the entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically includes the principal as well as any employee engaged In lobbying activities. The term "Lobbyists'" has specific exclusions. Please refer to Ordinance 2004-3435. Richard Dennis A. NAME OF 1:.86&','151: 1.JIrtIl""""E'fL: (Last) (First) (M.I) 825 Brickell Bay Drive, Suite 1748, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-374-6688 305-374-0384 dennis@richardandrichard.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: lJIo/IN~ElIL t. k;8BB If3T RETAINED BY: Beach Hotel Associates, LLC NAME OF PRINCIPAL/WENT: 1685 Collins Avenue, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 672-2000 TELEPHONE NUMBER: (305) 674-6123 FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [section 2-482 (c)] . NAME OF CHIEF OFACER, PARTNER, OR BENEFICIARY: Mark Tamis, General Manager IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit "A" attached hereto and incorporated herein. II. SPECFIC_ ISSUE: Ritz Plaza Hotel renovation, including but not limited to construction of addition Issue to be lobbied (Describe in detail): III. CITY AGENCES/INDIVIDUALS T~: A) Full Name ofIndlvidual/T1t1e B) Any Financial, Familial or Professional Relationship City Administration, City Attorney's Office, William Taylor, Architect for Attorney Mayor & City Commission, City Boards and Committees, if permissible IV. DISCLOSURE OF TERMS AND AMOUNTS OF fmpl~" COMPENSATION (DISCLOSE WHEllIER HOURL Y, FLAT RA~~ OTHER): $450.00 per hour. A) ~ DISCLOSURE: (Required) B) PRlNCIPAL'S DISCLOSURE (O~~WCOMPEN5ATlON): (Required). $450.00 per hour. Y A nti a fi i bursement. Pursuant to Ordinance No. 2004-3435. s ia n nor 1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach Citv Code Chaeter 2. Artide VII. Division 5 Thereof Entitled "Camcaion Finance Refonn" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camoaian Contributions Bv Lobbvists On Procurement Issues": Yes G> Are YOU lobbvina on a Dresent or oendino bid for ooods. eauiDment or services. or on a Dresent or Dendina award for Goods. eauiDment or service? 2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach Citv Code Chaeter 2. Article VII Division 5 thereof Entitled "Camcaion Finance Refonn". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camcaion Contributions BY Lobbvists On Real Estate Develooment Issues": Y Are u 10 i on a ndi a Ii tion for a Develo ent Arment with the Ci or aDDlication for chanae of zonina maD designation or chanae to the CitY's Future Land Use MaD? SIGNATURE UNDER OATH: v. ON ocrOBER 1ST OF EACH YEAR, EAOf LOBBYIST SHALL SUBMIT TO lllE C1Y CLERK A SIGNED STATEMENT UNDER OATH, U51lNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN lllE CITY OF MIAMI BEAOf FOR lllE PRECEDING CALENDAR YEAR. A ATEMENT SHALL BE FILED EVEN IF lllERE HAVE BEEN NO NDITURES 0 PE 11()N RING lllE REPORTING PERIOD. I do solemnly swear that all of the foregoing facts are truEN'" familiar with the provisions con . ed in Section -482 of the Mi requirements. Signature of~ Signature of Principal/Client: VL ~= IDENTIFICATION: correct and that I have read or am i Beach City Code and all reporting PRINCIPAL IDENTIFICATION: Produced ID / Fenn of Identification IvI' Personally known ~~= = Produced ID Fonn of Identification II Personally known (Prindpal) VII. SIGNATlJRE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn and subscrtbed before me This _day of . 20_ Signature of Public Notary - State of Florida Notarization of Principal's signature FOR CLE Annual Registration fee: [ vrYes [ ] No Amount Paid Lobbyist Registration Form received and verified by: Revised 02/10/04 F: CLERlAlL\MARIA.M\LOBBYISl\LOBBYIST FORM 04 's..USE ONLY S:<><J MCR# .::J7.?.;;26'7DatePaid 9//E!/oy IV, DISCLOSURE OF TERMS AND AMOUNTS OF~.Ji~~J'MPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) j~.1;f~~I'kOSURf: (Required) "'150. 00 ~ (" b r B) PRINCIPAL'S DISClOSURE (Or ~~~MPENSATION): (Required). -t 't' 50 f'>~A ~f'" No: Are tin a not-for t ti or ursement. Pursuant to Ordinance No. 2004-3435. Pursuant to Of<finance No. 2003-3393 Amendina Miami Beach Otv COde Chaater 2. Article VII. Division 5 Thereof Entitled "Camoaian Financl!! Reform" Via The Addition Of Code Section 2-188 Entitled "Prohibited CamnaiQn Cnntributions Bv Lobbvists On Procurement Issues": Y I) Yes Q 2) Yes <9 V. wi ialcom or Are vou Iobbvina on a aresent or oencIina bid for aoods. eauioment or~. or on a Ilresent or aendina award foraoods. eauioment or service? Pursuant to Ordinance No. 2003-3395 Arnendino Miami RPam atv COde Olaoter 2. Artide VII Division 5 thP.rMf EntitlE!(f"C..amoa\on Finance Reform". Via The Addition Of entia <:t:trtion 2-490 Entitled "Prohibited CamDaian Contributions 8v Lobbvists On Real Estate ~e100rnellt ls.4WeS": Are vClU IDbbvinG on a aendina aaDlication for it DeveloDment Aareement with the City or aDDllcation for cha_ of %Oni.... maD desiDnation or chanoe to the Citv's Future land Use MaD? SIGNATURE UNDER OATH: ON OCTOBER 1$1" Of EACH YEAR, EACH LOBBYJST SHALL SUBMIT TO THE CITY a.ERK A SIGNED STATI:MENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE cnv OF MIAMI BEACH FOR Till: PRECEDING CAU:NDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSAnON DURING THE REPORnNG PERIOD. SIgnature of 1et!l!llst It'r'fOAlf. Y I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisionS contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. f!'tTO/LwEy' L Signature of lBllll fi!t: Signature of Principal/CIient)< rr-'.:.---> VI. ~i'~IDENTlFICATION: \ PRINQPAL IDENTlFICATION: I I Produced ID I.J Produced 10 form of Identification form of Identlflcalian ~~fY Personally known ( II,"') , i Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: G'd State of Rortda, County of Miami-Dade Sworn and subscribed before me This _day of . 20_ Signature of Public Notary - Slate of Aarida N_rization of Principal's signature !"D;.;:, 1.'1/;'1: ~, ,~,: lE~ . '\t?', My {.;)f"!,rn,fJl,p. 512~'O5 No. DO 028245 ' t.!~-II-"" . FOR CLERK'S USE ONLY . . ;: I Annual Regl_on ree: [...-rYes [ J No Amount Paid ~.ou MCR # ,;17-:2;;>G;, <7 Date Paid '1 lit b <-f lobbyist Registration Form received and verified by: ~ Revised 01/10/04 F: O-ER\AlL, -M\LOB8YlS1\LOBBYIST FORM 04 06810SESOE ~ d sBw4oe~ I ~Bpuexel~ dvv:vO VO 60 des